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lhrErerxreen �( VSTRUCTION <br />c�TY�` pE�N!!i <br />e�erett PERMI"f N0. 08037 <br />CITYHALL259�8745 � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />EVERETT,VJA 902�1 <br />OYMER MAIL AODFE55 <br />CITY ].IP PHONE <br />Everet`. 98203 252-3264 <br />Robert Shaffer 4504 Hoyt P�or+e <br />ARCHITECT OP OESIGKER <br />MPRPDDRE55 CITY Z�� <br />MAR AODRELS <br />CITY ZIP PHONE LICENSE f <br />GENERALWNTRACTOR <br />Same Z�p PHONE UCE1lSFI <br />MECHANICFLCONTP/.CiOR <br />��AIL AODRE55 C�TM <br />MAIL AD�RE55 <br />GiY ZIP �4���E LICENSEI <br />PWMBING CONTPACiOP <br />WORK <br />❑NEW }�X4DC•�ION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIG� GARAGE <br />VFLUATION OF VlOAK <br />s 4,000.00 <br />OESCRIBE YlORK <br />bedroom and bath addition <br />PFoaoseo use oF ow�oi�vc <br />single family residence <br />IEG�L �ES'FIPiiON OF Pi�OPERiV ISHOW �ROW OR ATTACH FOUR G <br />�0�-8-9 e�ocK—oF <br />Central Park <br />4504 Hoyt <br />PLUM8ING <br />NT TYPE OP <br />A <br />SIDL YAR� SETBAC�C <br />�� <br />U5� ZONE <br />TYAE OF C <br />_._� <br />9ZF. OF BLDG, <br />—_�� <br />FIRC ZONE <br />RE OR ITEM <br />gTRE[T SETBACK REAR YAFD SI <br />LOT AREA VACANT SITE <br />❑YES ❑NO <br />OCCUPANCY GROUP NG.OFDWEL <br />N0. OF STORIES MAX. OCC. LC <br />BASEMENT FIFE SPRINKI <br />RLOUIRED <br />I IYES ❑NC <br />..vnic BY � <br />1 ENVIRONMENTALCHECKLIST <br />2. I3UILDING PLANS <br />r FlR[ HYDRANT � <br />4 PIRE PROTECTION S�ST��1 <br />5. GRADING _ � <br />6. DRNtlAGE �, 1 <br />� 0. NEALTH.OISTRICT O <br />��PPLIC/+TIOM F�L� BY P NS CHWKED BY <br />�� -< C) � V.C. <br />G n �n <br />_�-_�� �}---- <br />_, � <br />lJ <br />I HERFBY CERTIFY THAT I HAVE READ A�JD EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS ANG ORDINANCES GQVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEGFIED <br />HEREIN-OR-N T. THE GRANTING OF A PERMIT DOES NOT <br />�PRESUMET�GI�� AUTHORITYTONIOLATEOFCANCELTHEPRO� <br />VISIONS 0�= AN�1"�pTH STATE OR LOCAL IAW REGULATNG <br />CONSTRUCTI �N H T c PERFORMANCE OF CONSTRU ETION. <br />siC.+r.�y5e r/covtA � :a r rHoa xeo cEnr <br />iC�����C ��_� ..� ti- ;/31/a0 <br />. i <br />MECHANICAL <br />NO. TYPE OF E�UIPMENT FEE <br />AIR CCND. UNI15 �- �i '. E�. <br />f7EFPIGERATION U VITS — HP. EA <br />DOILERS — H.F. E��.. <br />G�5 FlRED A.G U1dTS — TONNAGE EF. <br />FORCEDAIRSYS7EIA5—BT.U. NEA. ,__ <br />' VJALL HEATERS — B T �. M <br />UNIT HEATERS — 8 TL. �`� <br />EVAPORATIVE COOLERS — <br />CLOTHEa ORVERS <br />VENTILl.TION FAN <br />RANGEHOOD <br />NR HANDLING UNIT — GF.M. <br />STOVE <br />n.�FTni RREPLACE & CNIMNEV _ <br />qppR. FOR ISSUANCE BY <br />PLAN GHhCK �lUMCt <br />80/7989 <br />BUILDING <br />PLUM�ING <br />MECHANICAL <br />OTHEfl <br />IPENALTY <br />FE[ 1 q, p p RECEIVT NO <br />9950� <br />VALUATION FEE <br />5 4,000. 28 00 <br />6 00 <br />U.e C. <br />SEC.303�a) <br />sn oa <br />YEHMII VNLIUFIIUIv <br />WHEN PROPERLY VALIDAiED (IN THIS SPACE) THIS IS YOUR PERMIT <br />5586 $D2$.00 = � <br />O <br />� <br />")IJ� f;�Ci IPI O <br />I . . � , . � .. �Y l.� i.) <br />nr;,-: . , �, .. <br />�' ( .'� L `c U <br />